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AuthorWilkinson, John A. author
TitleCongenital Displacement of the Hip Joint [electronic resource] / by John A. Wilkinson
ImprintLondon : Springer London, 1985
Connect tohttp://dx.doi.org/10.1007/978-1-4471-1369-0
Descript XIV, 154 p. online resource

SUMMARY

If I have seen further, it is by standing on ye shoulders of giants. Sir Isaac Newton (1675) Although congenital displacement of the hip has always been recognised as the commonest pre-natal deformity of the musculoskeletal system found in otherwise normal children, it is surprising to find that much of our present-day understanding concerning its origin and nature has been discovered only in the past 150 years and its successful management eventuยญ ally emerged during the last 60 years, almost within the professional life time of our more senior colleagues. Whereas Hippocrates (460-370 B. C. ) appeared to recognise patients that had experienced dislocation of their hips in utero and identified them from acquired forms of displacement, according to Severin (1941) it was another 2000 years before Palleta (1820) first recorded a careful description of the deformity based on his observations at an autopsy performed on an II-day-old boy with bilateral dislocations; he concluded that the findings were not caused by injury at birth, but dated from a pre-natal stage. Soon after, Baron Dupuytren (1847) gave an accurate description of congenital dislocation in his contribution entitled "Memoire sur un deplacement original ou congenital de la tete des femurs". He noted the absence of abscesses and fistulae as seen in painful and cruel pathological dislocations, which led him to believe that these congenital displacements were not likely to be the result of foetal disease as the affected babies appeared quite healthy at birth


CONTENT

1 Aetiology -- Normal Development -- Abnormal Development -- The Mechanism of CDH -- Summary -- References -- 2 Experimental Research -- Rotational Splinting -- Compression Experiments -- Experiments Studying the Effects of Breech Malposition and Hormonal Joint Laxity -- Summary -- References -- 3 Anatomy of Congenital Displacement of the Hip -- Normal Growth -- Abnormal Growth Due to Persistent Breech Malposition -- The Development of CDH -- Post-natal Development -- Summary -- References -- 4 Genetic and Environmental Aetiological Factors and Family Studies in the Prevalence of CDH -- Developmental Factors -- Pre-natal Environmental Factors -- Interaction of Pre-natal Factors -- Risk of CDH -- Post-natal Environmental Factors -- Prevalence of CDH -- Summary -- References -- 5 CDH at Birth and in the First Ten Months of Life: Its Diagnosis and Management -- History of Early Diagnosis -- Post-natal Presentation -- Congenital Displacement at Birth -- Neonatal Displacement Between 1 and 10 Months -- Management of Normal New-born -- Management of New-born with CDH -- Neonatal CDH Response to Treatment -- Summary -- References -- 6 Infantile Displacement of the Hip (10 Months to 3 years) -- Parental Symptoms -- Clinical Signs -- Radiological Signs -- Differential Diagnosis -- Surgical Management -- Summary -- References -- 7 Juvenile Hip Displacement ($$ 3\tfrac{1}{2} $$ Years to Skeletal Maturity) -- Missed CDH -- Failed Infantile CDH -- Surgical Management -- Summary -- References -- 8 Adult Congenital Acetabular Dysplasia with Subluxation of the Hip Joint -- Young Adults (15โ{128}{147}25 Years) -- Older Age Group (34โ{128}{147}45 Years) -- Management -- Summary -- References


Medicine Orthopedics Medicine & Public Health Surgical Orthopedics Conservative Orthopedics



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